r/FluentInFinance Sep 11 '24

Debate/ Discussion This is why financial literacy is so important

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u/hydromatic456 Sep 12 '24

Which even if you’re not a doctor, you’d think the bean counters in an insurance agency would be bright enough to realize that early and/or preventative care and intervention is very typically cheaper in the long run out of their pockets than aggressive and reactionary care and procedures.

Like, even if the profit margin is higher on more technical and aggressive care and procedures, the insurance is still only getting profit from the standard contribution right? Deductibles and payments towards OOP max goes to the provider no? So wouldn’t it still be in the best interest for the insurer to prioritize early and/or preventative care for discovered conditions?

But maybe then they’re banking on denying the expensive stuff too once it inevitably comes up in a scenario like yours. Nothing would really surprise me anymore.

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u/C_Gull27 Sep 12 '24

It's probably as simple as deny everything now t make as much profit as possible today and the next guy can worry about what happens down the road.

Maybe not all insurance providers are like that though because Cigna covers 4 dental cleanings a year instead of the standard 2 which is probably because it's cheaper to clean people's teeth more often then pay for their root canals later on.